Wiener klinische Wochenschrift
-
Wien. Klin. Wochenschr. · Nov 1997
Review[Diagnosis and therapy of cervical intraepithelial dysplasia in Austria: a survey].
To assess the present state of diagnosis, therapy and follow-up of cervical intraepithelial neoplasia (CIN) in Austria. ⋯ We regard the results of this survey as a basis for the development of further quality management strategies in the prevention, diagnosis and therapy of cervical intraepithelial neoplasia in Austria.
-
Wien. Klin. Wochenschr. · Nov 1997
[Spontaneous remission of an amiodarone-induced pulmonary lesion].
Amiodarone is an effective class-III antiarrhythmic agent. However, during long term therapy 1-10% of patients develop severe adverse pulmonary reactions, which are potentially life threatening. We report the case of a patient who developed dyspnoea and extensive pulmonary infiltrates compatible with amiodarone-associated interstitial lung disease following 6 months of treatment with amdiodarone (300 mg daily) for atrial flutter. On discontinuation of amiodarone treatment the infiltrates impressively resolved almost completely within 8 weeks, without administration of corticosteroids.
-
Wien. Klin. Wochenschr. · Nov 1997
Transcranial Doppler for early identification of potential organ transplant donors.
Encouraging results in transplant medicine create a growing demand for organ transplant donors. Transcranial Doppler (TCD) has been used by several investigators to assess arrest of the cerebral circulation in brain dead patients. We report on TCD as a monitoring tool for early identification of potential organ transplant donors. ⋯ TCD examinations on a daily routine basis offer a noninvasive monitoring method for early assessment of intracranial circulatory arrest. TCD enables quick identification and further diagnosis of candidates for organ transplant donation.
-
Wien. Klin. Wochenschr. · Nov 1997
Biography Historical Article[The Rokitansky morgue. Historical retrospect on the occasion of the anniversary years of Vienna pathology 1996 and 1997].
On the occasion of three anniversaries in 1996 and 1997 the historical background of the early pathology in Vienna is documented. 1796 Aloys Rudolph Vetter became the first official prosector of the "Allgemeines Krankenhaus". Since 1817, i.e., 180 years ago, continuously autopsy reports were documented, written by Rokitansky, Kundrat, Kolisko, Weichselbaum and the discoverer of blood groups Landsteiner. 1827 november 1st, Carl Rokitansky entered the old "Leichenhaus" as a practitioner without academic degree. Of this house exist three different pictures, only one of them is an authentic photograph, the others are drawings. This rare original photograph of the working room from the beginning of Viennese pathology is first published in medical literature in honour to the long tradition of autopsy-performing pathology.
-
Wien. Klin. Wochenschr. · Oct 1997
Clinical Trial Controlled Clinical Trial[Intrathecal administration of triamcinolone in treatment of pain after discectomy].
The efficacy and compatibility of intrathecal corticoid therapy was studied in a series of 160 patients (out of a total collective of 3000 patients operated on over a 5-year period for disc herniation) suffering from continuing pain in the first 5 days following discectomy. 80 patients received triamcinolone acetonide in crystalline suspension (Volon A 80, 2.0 ml) intrathecally via lumbar puncture on the 5th postoperative day (group A). The remaining 80 patients acted as controls (group B). Additionally, all patients were treated by conservative means. ⋯ However, in 11 cases (13%) postpunctional signs of greater or lesser severity, reaching from slight to severe headache with nausea and vomiting occurred. All these symptoms disappeared at the latest within 1 week and would--in our opinion--be avoidable by correct lumbar puncture technique. In general, this study revealed that intrathecal triamcinolone administration is highly effective in the relief of postdiscectomy pain and may reduce the period of postoperative pain significantly.